Dr. Joseph Spraul, MD
903 Medical Park DR, Effingham, IL 62401 • +1-572-555-7132
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Effingham Percentiles
NPI #1134172141 • CBSA Regional • Ophthalmology
Within the Effingham, IL (CBSA local) Ophthalmology cohort, Dr. Joseph Spraul, MD with sub-specialty concentration in 52 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 74.47th IL percentile (-0.17σ Z-score) based on 5,429 billed procedures for 1,979 patients.
Medicare Part B line-item claims for Dr. Joseph Spraul (62401) place 92014 at the top of the practice ledger (2009 yearly units, 33.33th metro rank), rounded out by 92134 and 92083.
Direct cash-pay transparency modeling sets Dr. Spraul's baseline new-consult rate near $218.00 in Effingham, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 12-minute average reception wait).
NPI registry verification (#1134172141) confirms Dr. Joseph Spraul's MD standing serving CBSA 62401 with a 4.69/5 patient scorecard.
Compared against Effingham, IL Ophthalmology peers
5,429 annual services across 1,979 beneficiaries
Standard deviations from IL Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 2,009 | 33.33th | $164 – $225 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,412 | 35.33th | $90 – $124 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 923 | 30.33th | $108 – $149 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 651 | 30.33th | $197 – $271 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 434 | 32.33th | $723 – $991 |
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Dr. Joseph Spraul, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spraul National Provider Identifier | NPI #1134172141 (MD) | CMS NPPES Registry (62401) |
| Dr. Spraul Effingham CMS Volume Rank | 33.33th Pct (5,429 CMS svcs; Z -0.165σ) | CMS Medicare Part B (IL Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Effingham, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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